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Left side abdominal pain, abdomen examination suggested - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi
User :   hi doctor, are you a man or woman?
Doctor :   man
User :   ok, i'm a woman, 29 years old
Doctor :   Please proceed with your query.
User :   i have had some abdominal pain, out to my left side
Doctor :   Since when?
User :   it is not constant pain, now and then since some weeks
Doctor :   Is it associated with burning micturation? or vomiting? or diarrhoea?
User :   no
Doctor :   When was your last period?
User :   ended about one week ago
Doctor :   How is your cycles ? are they regular?
User :   yes, mab differ 1-2 days, but that's normal, or?
User :   may
Doctor :   1-2 days difference is normal.
Doctor :   You have mentioned the site of pain as left side. Is it on the upper region or the lower?
User :   more lower
Doctor :   Can you describe the nature of the pain?
User :   mostly dull, but sometimes more noticeable
User :   sorry for my bad english, hope you understand
Doctor :   Thats ok.
User :   are you a general physician?
Doctor :   Yes.
User :   may i ask how you normally handle this?
Doctor :   Yes sure.
Doctor :   We approach such a case by taking a relevant history and doing a clinical examination.
Doctor :   clinical examination includes General physical examination, abdominal examination, If required per vaginal examination.
Doctor :   After the examination the relevant investigations are done.
User :   what is included in general physical examination in this case?
Doctor :   We look for the Pallor in this case but in general will examine for Icterus(yellowish discoloration of eye), cyanosis, clubbing, lymphnodes.
User :   sorry for the questions, but must admit that i'm a little nervous at the doctor
Doctor :   Its ok. don't be Nervous.
User :   if mean in this case you will send to a specialist?
Doctor :   Ifrequired.Then only a specialist help is asked, we have to refer for giving the good care.
User :   so also you as general physician perform exmination of for example ovaries?
Doctor :   Yes. As i mentioned if needed a pervaginal examination is done .If there is a need a abdominal ultrasonography is asked to visualize the ovaries .
User :   is pervaginal examination done on the same examining table as general and abdominal exam?
Doctor :   No. There will be a different table for that.
Doctor :   As your symptoms are not suggestive of any particular etiology, you need a abdominal examination and if necessary ,then an pervaginal that the cause for the abdomen can made out.
Doctor :   Abdomen pain*
User :   one last embarassing question?
Doctor :   ok
User :   is it most likely that a rectal exam will be done?
Doctor :   Rarely done depending on the suspected cause.
User :   thank you, good to know as i'm nervous
User :   to be prepared
Doctor :   You are welcome.
User :   speculum?
Doctor :   yes if needed
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